United States focus
What patients in the United States should know about chronic prostatitis misdiagnosis, and how care abroad fits alongside care at home.
Chronic pelvic pain in men is very frequently labelled chronic prostatitis or chronic pelvic pain syndrome. Repeat courses of antibiotics follow, cultures come back negative, and the pain continues unchanged — a strong sign the prostate was never the source.
Nerve pain does not respond to antibiotics. When the pain is burning rather than aching, positional rather than constant, and accompanied by numbness or hypersensitivity of the perineum, the pudendal nerve deserves a proper look.
Dr Bollens reviews previous urology work-ups in full before drawing conclusions. The aim is not to overturn earlier care but to ask a question that was never asked: is this nerve pain, and can it be treated surgically?
US patients keep their local physician in the loop throughout; we share our written opinion with them directly on request.